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Back Pain

Back pain is discomfort in the back of the body with any number of causes. It is a very common reason people seek medical care worldwide.

Symptoms

The pain can occur on any area of the back. It may worsen with certain types of movement and may cause pain to shoot down one or both legs.

Most cases of back pain are not serious. However, the following symptoms accompanying back pain could indicate a serious problem and should prompt a person to see their doctor immediately:

  • Loss of bladder control
  • Loss of bowel control
  • Numbness or tingling in the inside of the legs or genitals
  • Fever
  • Unintended weight loss
  • Pain that does not go away after a few weeks
  • Vomiting in addition to the pain

Causes

The most common cause of back pain is a muscle sprain. The sprain can occur at work, at home, while playing sport, or while doing other exercises. Some other causes of back pain include:

  • Trauma – a fall or accident
  • Congenital deformity – being born with a deformity of the back
  • Kyphosis – abnormal curvature of the upper spine. This is most common in elderly people and causes them to appear hunched over
  • Spinal stenosis – narrowing of the spaces between the vertebrae (back bones) which compresses nerves thus causing pain
  • Bulging disc – when one of the discs between the vertebrae of the back is pressed too tightly, it can stick out farther than it should. This irritates nearby nerves
  • Osteoarthritis – a common condition as people age causing wear and tear on joints throughout the body, including the back
  • Osteoporosis – weakening of bones, most frequently because of aging
  • Cauda equina syndrome – a rare orthopaedic emergency when the nerves of the lower back are compressed
  • Kidney infection – a type of urinary tract infection which often presents with painful urination, frequent urination, a raised temperature, and vomiting
  • Pancreatitis – a digestive organ called the pancreas becomes irritated or inflamed. The pain feels like it is boring straight through the body to the back
  • Renal stones – in some people, sediment can build up to form stones in the urinary system. This can lead to back pain as the stone attempts to pass
  • Menstrual cycles
  • Multiple myeloma – a rare type of blood cancer
  • Bony metastases to the spine – when a cancer in another area of the body spreads to the bones of the spine

Autoimmune conditions – some rare conditions where the immune system mistakenly attacks itself near the back

Reference Articles

Risk Factors

The most common risk factor for back pain is improper lifting technique causing a sprain. Other risk factors include:

  • Doing a job that requires manual labour
  • Aging
  • A family member with autoimmune disease
  • Poor nutrition
  • Being overweight
  • Not getting enough exercise

Diagnosis

To diagnose the cause of back pain, a doctor will start with a thorough exam. A doctor may request some other tests, such as:

  • X-ray
  • Bloods
  • Urine sample
  • A CT scan or MRI scan
  • Test nerve function

Treatment

Treatment depends on the cause of the back pain. In most cases, when the cause is a muscular sprain, a person can treat themselves at home with:

  • Over the counter painkillers
  • Ice or heat
  • Rest
  • Stretches

Other possible treatments include:

  • Prescribed painkillers
  • Prescribed muscle relaxers
  • Antibiotics
  • Surgery
  • Other medications
  • Physiotherapy

The doctor may also recommend alternative therapies, such as:

  • Massage
  • Chiropractic care
  • Yoga
  • Acupuncture

Complications

Most back pain does not cause complications. However, chronic back pain can cause the following:

  • Poor sleep
  • Being unable to work, care for self or care for family members
  • Mental health problems
  • Weight gain. This can in turn cause other conditions to worsen
  • Permanent nerve damage

Prevention

The best way to prevent back pain is to learn proper lifting techniques. Also, when playing sport or exercising, a proper warm up and cool down routine including stretching is essential.

 
 
 

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